Organization
PUEBLO COMMUNITY COLLEGE
Active
Parent organization
PUEBLO COMMUNITY COLLEGE
Other names
Dental Assisting Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
PUEBLO COMMUNITY COLLEGE
Authorized official
DR. EMILY BATSON D.D.S. (CLINICAL DENTIST)
(719) 549-3379
Entity
Organization
Contact information
Practice address
900 W ORMAN AVE, MT 130, PUEBLO, CO 81004-1430
(719) 549-3379
(719) 549-3389
Mailing address
900 W ORMAN AVE, MT 130, PUEBLO, CO 81004-1430
(719) 549-3379
(719) 549-3389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8667
CO
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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